公开(公告)号：US08366607B2

公开(公告)日：2013-02-05

申请号：US12851069

申请日：2010-08-05

Applicant: Roy Sullivan ,  Eric Litscher ,  Vincent Turturro ,  Matt Whitney

Inventor： Roy Sullivan ,  Eric Litscher ,  Vincent Turturro ,  Matt Whitney

IPC: A61B1/00

CPC classification number: A61B1/0052 ,  A61B1/0055 ,  A61B1/0057 ,  A61M25/0147

Abstract: A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.

Abstract translation: 与可转向内窥镜装置一起使用的控制手柄。 该内窥镜装置具有一对控制线来实现转向。 控制手柄包括转向机构，其包括驱动地连接到诸如链轮或驱动齿轮的驱动构件的致动器，例如控制旋钮。 为了将驱动构件的力传递到控制线，传动结构（例如胎圈链）的长度连接到控制线的近端并与驱动构件接合。 在一个实施例中，可以提供一次性内窥镜，其包括控制手柄，可操纵的内窥镜装置和用于将控制手柄功能地连接到内窥镜成像系统的控制柜的脐带或通信导管。

公开(公告)号：US08083671B2

公开(公告)日：2011-12-27

申请号：US11239644

申请日：2005-09-29

Applicant: Dennis R Boulais ,  Michael S Banik ,  Vincent Turturro ,  Christopher Rowland ,  David W Hoffman ,  John P O'Connor ,  Eric Litscher

Inventor： Dennis R Boulais ,  Michael S Banik ,  Vincent Turturro ,  Christopher Rowland ,  David W Hoffman ,  John P O'Connor ,  Eric Litscher

IPC: A61B1/12

CPC classification number: A61B1/015 ,  A61B1/00068 ,  A61B1/00119 ,  A61B1/00128 ,  A61B1/12 ,  A61B1/128 ,  A61M39/225

Abstract: A fluid delivery system for use with an endoscope. Certain embodiments of the invention include a single, large fluid source and pump installed upon an operator console, in combination with a small fluid reservoir and pump installed within a proximal connector of the imaging endoscope, multiple fluid sources that feed a common fluid channel that are pressurized by a common pump, multiple fluid sources that feed dedicated fluid channels that are pressurized by dedicated pumps, and a small fluid reservoir and pump installed within a handheld manual controller of the imaging endoscope. The fluid delivery endoscopic systems of the present invention provide the user with the flexibility of changing fluids either in advance of a procedure or on-the-fly as needed, instead of relying on fixed fluid sources only.

Abstract translation: 一种用于内窥镜的流体输送系统。 本发明的某些实施例包括安装在操作员控制台上的单个大型流体源和泵与安装在成像内窥镜的近侧连接器内的小型流体储存器和泵组合，供给公共流体通道的多个流体源 通过公共泵加压，多个流体源，其供应由专用泵加压的专用流体通道，以及安装在成像内窥镜的手持式手动控制器内的小型流体储存器和泵。 本发明的流体输送内窥镜系统为使用者提供了根据需要在程序之前或即时更换流体的灵活性，而不是仅依赖于固定的流体源。

公开(公告)号：US07094245B2

公开(公告)日：2006-08-22

申请号：US09971488

申请日：2001-10-05

Applicant: Mark L. Adams ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

Inventor： Mark L. Adams ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

IPC: A61B17/10

CPC classification number: A61B17/1285 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B90/03 ,  A61B2017/0034 ,  A61B2017/00477 ,  A61B2017/00778 ,  A61B2017/00818 ,  A61B2017/12004 ,  A61B2090/037 ,  A61B2090/3916

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

公开(公告)号：US20060106281A1

公开(公告)日：2006-05-18

申请号：US11238649

申请日：2005-09-29

Applicant: Dennis Boulais ,  Michael Banik ,  Vincent Turturro ,  Christopher Rowland ,  David Hoffman ,  John O'Connor

Inventor： Dennis Boulais ,  Michael Banik ,  Vincent Turturro ,  Christopher Rowland ,  David Hoffman ,  John O'Connor

IPC: A61B1/00

CPC classification number: A61B1/05 ,  A61B1/00059 ,  A61B1/00087 ,  A61B1/00103 ,  A61B1/00105 ,  A61B1/0051 ,  A61B1/0052 ,  A61B1/018 ,  A61B1/12 ,  A61B18/1492 ,  A61B90/98 ,  G06F19/00

Abstract: A multi-functional endoscopic system, for use in electrosurgical applications, that includes an imaging endoscope that may be used in combination with various electrosurgical devices, all of which are sufficiently inexpensive to manufacture, such that the endoscope and electrosurgical devices are considered single use, disposable items. The multi-functional endoscopic system of the present invention is suitable for use with a variety of common electrosurgical devices that require electrical/electronic support in order to function. The electrical/electronic support for these electrosurgical devices (e.g., an electrosurgical generator and associated controls) is integrated with the operator console of the imaging endoscope of the multi-functional endoscopic system of the present invention, rather than provided as a separate device. In another embodiment of the invention, an imaging endoscope is provided that integrates or combines the functions of both an imaging endoscope and an electrosurgical device, which can be controlled by a single handheld controller.

公开(公告)号：US20050182426A1

公开(公告)日：2005-08-18

申请号：US11036421

申请日：2005-01-14

Applicant: Mark Adams ,  Russell Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy Sullivan

Inventor： Mark Adams ,  Russell Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy Sullivan

IPC: A61B17/12 ,  A61B1/00 ,  A61B17/00 ,  A61B17/122 ,  A61B17/128 ,  A61B19/00 ,  A61B17/08

CPC classification number: A61B17/1285 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B90/03 ,  A61B2017/0034 ,  A61B2017/00477 ,  A61B2017/00778 ,  A61B2017/00818 ,  A61B2017/12004 ,  A61B2090/037 ,  A61B2090/3916

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

Abstract translation: 用于使用通过内窥镜输送到目标区域的夹子装置来引起血管止血的医疗装置。 使用该装置通过内窥镜使血管止血的方法。 医疗设备包括可逆地闭合的夹子，锁定装置，控制线，护套和具有致动触发器的手柄。 通过内窥镜，完全可逆和锁定的止血钳夹装置。 止血夹，可逆地瞄准和夹住出血性溃疡。

公开(公告)号：US20050107809A1

公开(公告)日：2005-05-19

申请号：US10977598

申请日：2004-10-29

Applicant: Eric Litscher ,  Vincent Turturro ,  Roy Sullivan

Inventor： Eric Litscher ,  Vincent Turturro ,  Roy Sullivan

IPC: A61B17/00 ,  A61B17/122 ,  A61B17/128 ,  A61B17/10

CPC classification number: A61B17/1285 ,  A61B17/122 ,  A61B17/128 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/12004

Abstract: An apparatus for applying clips to tissue, comprises a plurality of clips, each of the clips including a proximal end having a pair of opposed jaws and a distal end including a linking feature, where the clips are linked to one another to form a clip chain with a linking feature of a distal-most one of the clips being gripped between the jaws of an immediately proximal one of the clips and a control linkage coupled to a proximal-most one of the clips for applying tension and compression to the clip chain in combination with a magazine containing the clip chain, the magazine including an abutment surface sized to prevent passage distally therebeyond of a clip having received between its jaws a linking feature of an immediately distal clip and an opening location within which the jaws of a clip are permitted to open to release a linking feature therefrom.

Abstract translation: 一种用于将夹子施加到组织的装置，包括多个夹子，每个夹子包括具有一对相对的爪的近端和包括连接特征的远端，其中夹子彼此连接以形成夹子链 其中最靠近的一个夹子的连接特征被夹持在紧固件的夹子的夹爪之间，以及联接到最近的一个夹子的控制连杆，用于向夹子链施加张力和压缩 与包含夹子链的杂志组合，所述杂志包括邻接表面，所述对接表面的尺寸设置成防止在其夹爪之间接收到的夹子的远端，所述夹子在其钳口之间具有直接远端夹子的连接特征和允许夹子的钳口的开口位置 打开以从其中释放链接特征。

公开(公告)号：US06461310B1

公开(公告)日：2002-10-08

申请号：US09612923

申请日：2000-07-10

Applicant: Matthew A. Palmer ,  Vincent Turturro

Inventor： Matthew A. Palmer ,  Vincent Turturro

IPC: A61B500

CPC classification number: A61B10/06 ,  A61B2017/2932 ,  A61B2017/2933

Abstract: An endoscopic bioptome includes a flexible coil having a lumen with an axially displaceable wire extending therethrough. The proximal ends of coil and wire couple to a manual actuator for axially displacing one of the coil and wire relative to the other. The distal end of the coil couples to either a jaw assembly or a cylinder. The jaw assembly includes a pair of jaws each having a distal jaw cup having a proximal neck and a relatively narrow bent resilient arm. The distal end of the wire couples to the other of the cylinder or the jaw assembly. The cylinder is slidable over the jaw assembly. Axial movement of either the wire relative to the coil or vice versa moves the cylinder over the arms of the jaws and over the necks of the jaw cups, thereby forcing the jaw cups together in a biting action.

Abstract translation: 内镜式活检人员包括具有内腔的柔性线圈，其具有延伸穿过其中的可轴向移位的线。 线圈和线的近端耦合到手动致动器，用于相对于另一个轴向移位线圈和线中的一个。 线圈的远端耦合到钳口组件或气缸。 钳口组件包括一对钳口，每个钳口具有具有近端颈部和相对窄的弯曲弹性臂的远端钳口杯。 线的远端耦合到气缸或钳口组件中的另一个。 气缸可滑过钳口组件。 电线相对于线圈或反之亦然的轴向运动将汽缸移动到钳口的臂上并在钳口杯的颈部上方，从而迫使钳口杯咬合在一起。

公开(公告)号：US06193671B1

公开(公告)日：2001-02-27

申请号：US09071039

申请日：1998-05-04

Applicant: Vincent Turturro ,  Matthew A. Palmer ,  Charles R. Slater ,  Saul Gottlieb

Inventor： Vincent Turturro ,  Matthew A. Palmer ,  Charles R. Slater ,  Saul Gottlieb

IPC: A61B1000

CPC classification number: A61B10/0266 ,  A61B10/02 ,  A61B10/06 ,  A61B17/30 ,  A61B2010/0225 ,  A61B2017/00398 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/2931 ,  A61B2017/2933 ,  A61B2017/2939 ,  A61B2018/1253 ,  A61B2018/146 ,  A61B2090/064 ,  A61M2025/0098

Abstract: An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.

Abstract translation: 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器，用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个，而内部构件的远端联接到另一个。 钳口组件包括一对相对的，优选有齿的钳口杯，每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内，夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中，并使咬合杯以咬合动作一起接合。 根据本发明，通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中，根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作，当闭合钳口时，该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面，并且闭合凸轮防止套筒完全滑过和夹紧夹爪。

公开(公告)号：US08353860B2

公开(公告)日：2013-01-15

申请号：US11241829

申请日：2005-09-30

Applicant: Dennis R Boulais ,  Michael S Banik ,  Vincent Turturro ,  Christopher Rowland ,  David W Hoffman ,  John P O'Connor ,  Lucien A Couvillon, Jr. ,  Mark L Adams ,  William J Shaw ,  Donald C Hovey ,  Luis J Maseda ,  Laurence D Brenner

Inventor： Dennis R Boulais ,  Michael S Banik ,  Vincent Turturro ,  Christopher Rowland ,  David W Hoffman ,  John P O'Connor ,  Lucien A Couvillon, Jr. ,  Mark L Adams ,  William J Shaw ,  Donald C Hovey ,  Luis J Maseda ,  Laurence D Brenner

IPC: A61M3/00 ,  A61M1/00

CPC classification number: A61B1/12 ,  A61B1/00085 ,  A61B1/00087 ,  A61B1/00091 ,  A61B1/00094 ,  A61B1/015 ,  A61B1/018 ,  A61B1/05 ,  A61B1/0607 ,  A61B1/0676 ,  A61B1/0684 ,  A61B1/125 ,  A61B1/126 ,  A61B1/31 ,  A61B2017/22092 ,  A61B2017/320775 ,  A61M3/0279 ,  A61M3/0283

Abstract: In one aspect, the present invention is a system for preparing a patient for an endoscopy procedure, such as a colonoscopy. The endoscopic preparation and examination system includes an endoscope, a source of irrigation and aspiration, and a control unit. The endoscope includes an elongated flexible shaft with a distal tip and a proximal end, at least one aspiration lumen and at least one irrigation lumen. A plurality of irrigation ports are functionally connected to the at least one irrigation lumen and a plurality of aspiration ports are functionally connected to the at least one aspiration lumen. In another aspect, the invention provides a method of clearing an obstructed view in a patient prior to, or during an endoscopic examination.

Abstract translation: 一方面，本发明是用于制备用于内窥镜检查程序的患者的系统，例如结肠镜检查。 内窥镜准备和检查系统包括内窥镜，灌注源和抽吸源，以及控制单元。 内窥镜包括具有远侧末端和近端的细长柔性轴，至少一个抽吸腔和至少一个冲洗腔。 多个冲洗口在功能上连接到所述至少一个冲洗腔，并且多个抽吸端口在功能上连接到所述至少一个抽吸腔。 在另一方面，本发明提供一种在内窥镜检查之前或期间清除患者中的阻塞视图的方法。

公开(公告)号：US07879052B2

公开(公告)日：2011-02-01

申请号：US11036421

申请日：2005-01-14

Applicant: Mark L. Adams ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

Inventor： Mark L. Adams ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

IPC: A61B17/122

CPC classification number: A61B17/1285 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B90/03 ,  A61B2017/0034 ,  A61B2017/00477 ,  A61B2017/00778 ,  A61B2017/00818 ,  A61B2017/12004 ,  A61B2090/037 ,  A61B2090/3916

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

Abstract translation: 用于使用通过内窥镜输送到目标区域的夹子装置来引起血管止血的医疗装置。 使用该装置通过内窥镜使血管止血的方法。 医疗设备包括可逆地闭合的夹子，锁定装置，控制线，护套和具有致动触发器的手柄。 通过内窥镜，完全可逆和锁定的止血钳夹装置。 止血夹，可逆地瞄准和夹住出血性溃疡。